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Murakami M, Kawabata H, Maezawa M. The perception of the hidden curriculum on medical education: an exploratory study. Asia Pac Fam Med. 2009;8(1):9doi: 10.1186/1447-056X-8-9.
Murakami, M., Kawabata, H., & Maezawa, M. (2009). The perception of the hidden curriculum on medical education: an exploratory study. Asia Pacific family medicine, 8(1), 9. https://doi.org/10.1186/1447-056X-8-9
Murakami, Manabu, et al. "The perception of the hidden curriculum on medical education: an exploratory study." Asia Pacific family medicine vol. 8,1 (2009): 9. doi: https://doi.org/10.1186/1447-056X-8-9
Murakami M, Kawabata H, Maezawa M. The perception of the hidden curriculum on medical education: an exploratory study. Asia Pac Fam Med. 2009 Dec 15;8(1):9. doi: 10.1186/1447-056X-8-9. PMID: 20003462; PMCID: PMC2799394.
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Asia Pac Fam Med. 2009 Dec 15;8(1):9. doi: 10.1186/1447-056X-8-9.

The perception of the hidden curriculum on medical education: an exploratory study.

Asia Pacific family medicine

Manabu Murakami, Hidenobu Kawabata, Masaji Maezawa

Affiliations

  1. Department of Healthcare Systems Research, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

PMID: 20003462 PMCID: PMC2799394 DOI: 10.1186/1447-056X-8-9

Abstract

BACKGROUND: Major curriculum reform of undergraduate medical education occurred during the past decades in the United Kingdom (UK); however, the effects of the hidden curriculum, which influence the choice of primary care as a career, have not been sufficiently recognized. While Japan, where traditionally few institutions systematically foster primary care physicians and very few have truly embraced family medicine as their guiding discipline, has also experienced meaningful curriculum reform, the effect of the hidden curriculum is not well known. The aim of this study is to identify themes pertaining to the students' perceptions of the hidden curriculum affecting undergraduate medical education in bedside learning in Japan.

METHODS: Semi-structured interviews with thematic content analysis were implemented. Undergraduate year-5 students from a Japanese medical school at a Japanese teaching hospital were recruited. Interview were planned to last between 30 to 60 minutes each, over an 8-month period in 2007. The interviewees' perceptions concerning the quality of teaching in their bedside learning and related experiences were collected and analysed thematically.

RESULTS: Twenty five medical students (18 males and 7 females, mean age 25 years old) consented to participate in the interviews, and seven main themes emerged: "the perception of education as having a low priority," "the prevalence of positive/negative role models," "the persistence of hierarchy and exclusivity," "the existence of gender issues," "an overburdened medical knowledge," "human relationships with colleagues and medical team members," and "first experience from the practical wards and their patients."

CONCLUSIONS: Both similarities and differences were found when comparing the results to those of previous studies in the UK. Some effects of the hidden curriculum in medical education likely exist in common between the UK and Japan, despite the differences in their demographic backgrounds, cultures and philosophies.

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